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MILE LACK HEALTH SYSTEM PO Box A Obama MN 56359 Fax:(320) 5322399AUTHORIZATION FOR DISCLOSURE OF HEALTH INFORMATIONPatient Name: ___Date of Birth___ Address:___ Release Information From:Release Information
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New PA Joins MLHS is a new form for reporting employee information.
Employers are required to file New PA Joins MLHS for all newly hired employees.
New PA Joins MLHS can be filled out online or submitted in paper form.
The purpose of New PA Joins MLHS is to collect employee information for payroll and tax purposes.
Employee's personal information, employment status, and tax withholding information.
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